English: Figure [on left] shows [child] after three months treatment [for cretinism]; the abdomen measured 16 inches. Figure [on right] illustrates the condition after five and a half months treatment; height 30 inches ; abdomen measured 15 inches.

Identifier: medicaldiseaseso00will (find matches)
Title: Medical diseases of infancy and childhood
Year: 1900 (1900s)
Authors: Williams, Dawson, 1854- (from old catalog) Churchill, Frank Spooner, 1864- (from old catalog) ed
Subjects: Children
Publisher: Philadelphia and New York, Lea brothers & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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Text Appearing Before Image:
. The treatment was begunAugust 12, 1896. Fig. 39 shows the condition seven months later,March 20, 1897. The child had gained four inches in height, andthe entire appearance had changed remarkably. Figs. 40 and 41 show a sporadic cretin at the age of thirtyyears, patient of Dr. Sinkler. The height was 112f cm. Fig. 41shows the condition a year after treatment. She had grown nearly7 cm., and had lost much of the myxoedematous characters. This CRETINISM. 267 case is of special interest as showing the importance of the treatmenteven in adults. I know of no single set of photographs which show in quite thesame way the phenomenal change as in this series of pictures verykindly sent by Dr. Coyner, of Peoria, 111. Figs. 42 and 43 show the very characteristic appearance of a spo-radic cretin, aged twenty-three months, length 28 inches, circumfer-ence of the abdomen 19 inches. Fig. 44 shows the change after threemouths treatment; the abdomen measured 16 inches. Fig. 45 illus- FiG. 44. Fig. 45.
Text Appearing After Image:
trates the condition after five and a half months treatment; height30 inches ; abdomen measured lo inches. Fig. 46 shows the changeafter seven and a half months treatment; while the last picture, Fig.47, shows eleven months after beginning the use of the thyroid aI>erfectly-natural looking child.) The Thymus Gland. The large size of the thymus gland at birth is one of the moststriking features of the infantile thorax. Ballantrne, Introd. to the Diaeases of Infancy, Etlinburgh, 1891, p. CI. 268 DISEASES OF THE THYROID AND THYMUS GLANDS. It occupies the anterior mediastinum, lying behind the manubriumand the upper part of the body of the sternum, and the three uppercostal cartilages. Its upper border projects above the suprasternalnotch, and almost touches the isthmus of the thyroid. It varies £;good deal in size at birth, but the maximum measurements are abou Fig. 47. Fig. 46.

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